63 results
Mechanical Ventilation in High Intracranial Pressure (ICP)
- Maintain PEEP < ICP
- Dealing with ICP
- HOB effect
Mechanical Ventilation ... on ICP - Post-intubation ... Management #Mechanical ... Elevated #management #pulmonary ... #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
fail” low flow oxygen ... intubated and mechanically ... disease and not the mechanical ... us believe that intubation ... management #schema #criticalcare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
Nasal Oxygen Delivery ... rate of requiring intubation ... nickmmark #Nasal #Oxygen ... Devices #management #pulmonary ... #criticalcare
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
for endotracheal intubation ... Tolerating supplemental oxygen ... for endotracheal intubation ... DO NOT: Delay intubation ... management #schema #criticalcare
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Oxygen Delivery ... ) • Invasive Mechanical ... @DharSaty #Oxygen ... #respiratory #pulmonary
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
bradyarrhythmias • Mechanical ... failure from massive pulmonary ... embolism or severe pulmonary ... hypertension • Mechanical ... diagnosis #management #criticalcare
Difficult Airway Algorithm

1. Assess the likelihood and clinical impact of basic management problems: 
 • Difficulty
• Difficult intubation ... deliver supplemental oxygen ... choices: • Awake intubation ... vs. intubation ... Anesthesiology #Anesthesia #CriticalCare
MGH Sedation protocol for mechanically ventilated COVID-19 patients

#Sedation #Analgesia #Protocol #COVID19 #CriticalCare #Treatment #MGH #Management #Coronavirus
Sedation protocol for mechanically ... Protocol #COVID19 #CriticalCare ... #Treatment #MGH
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
of baseline Treatments ... , Brief trial Mechanical ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #treatment
COPD Exacerbations - Management
 • Identify Triggers
 • Assess Severity
 • Risk for Poor Outcomes
 •
Outcomes • Initial Treatment ... (Supplemental oxygen ... Exacerbation #Management #treatment ... #pulmonary